How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $141.25 Median $169.82 Typical High $263.03 | Facility | None | $141.25 | $169.82 | $263.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $67.61 | Facility | 26 · Professional part | $43.65 | $51.29 | $67.61 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $173.78 | Facility | TC · Technical part | $97.72 | $120.23 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $141.25 Typical High $169.82 | Professional | None (both parts) | $125.89 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $51.29 | Professional | 26 · Professional part | $39.81 | $43.65 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $97.72 Typical High $120.23 | Professional | TC · Technical part | $91.20 | $97.72 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $125.89 Typical High $245.47 | Professional | None (both parts) | $117.49 | $125.89 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $97.72 | Professional | 26 · Professional part | $30.20 | $35.48 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $36.31 | Facility | None | $18.62 | $18.62 | $36.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $15.85 Median $18.62 Typical High $104.71 | Professional | None (both parts) | $15.85 | $18.62 | $104.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $48.98 Typical High $57.54 | Professional | 26 · Professional part | $29.51 | $48.98 | $57.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $23.44 Median $28.18 Typical High $154.88 | Professional | 50 · Both sides | $23.44 | $28.18 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $44.67 Typical High $114.82 | Professional | TC · Technical part | $38.90 | $44.67 | $114.82 |
CareSource Setting Facility Modifier None Typical Low $47.86 Median $104.71 Typical High $154.88 | Facility | None | $47.86 | $104.71 | $154.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $43.65 Median $100.00 Typical High $177.83 | Professional | None (both parts) | $43.65 | $100.00 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $281.84 Typical High $524.81 | Facility | None | $251.19 | $281.84 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $128.82 | $151.36 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $69.18 | Professional | 26 · Professional part | $38.02 | $44.67 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $112.20 Typical High $158.49 | Professional | TC · Technical part | $95.50 | $112.20 | $158.49 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $173.78 Median $912.01 Typical High $2,137.96 | Facility | None | $173.78 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $48.98 Median $57.54 Typical High $109.65 | Professional | None (both parts) | $48.98 | $57.54 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $295.12 | Professional | None (both parts) | $131.83 | $169.82 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $51.29 Typical High $91.20 | Professional | 26 · Professional part | $36.31 | $51.29 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $218.78 | Professional | TC · Technical part | $93.33 | $120.23 | $218.78 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $117.49 Typical High $120.23 | Professional | FX · Film X-ray | $102.33 | $117.49 | $120.23 |
Where Indiana sits
The same service costs 5.2 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Indiana· 43rd of 51
$126
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.